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New Hampshire rates for HCPCS E1390

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.54 / $970.54 / $1,164.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.89 / $970.54 / $1,005.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $80.83 / $261.16